建议进行相关臂的全序贯多臂试验

Ozge Yapar, Noah Gans, S. Chick
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引用次数: 2

摘要

我们专注于设计多臂多阶段(MAMS)临床试验,使用模拟优化,生物统计学和卫生经济学的思想。从试验设计的角度来看,我们建立在将多个处理与单个对照进行比较的趋势上,允许在试验中使用两个以上的臂,并且我们通过使用允许自适应停止规则的扩散近似来允许任意多个采样阶段。从模拟的角度来看,我们的技术扩展了相关知识梯度的概念,这已经在一阶段的前瞻性(知识梯度)过程中使用,到贝叶斯全顺序选择过程。
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Proposal for fully sequential multiarm trials with correlated arms
We focus on the design of multiarm multistage (MAMS) clinical trials, using ideas from simulation optimization, biostatistics, and health economics. From a trial design perspective, we build on the trend of comparing multiple treatments with a single control by allowing for more than two arms in a trial, and we allow for arbitrarily many stages of sampling by using a diffusion approximation that allows for adaptive stopping rules. From a simulation perspective, our techniques extend the correlated knowledge-gradient concept, which has been used in one-stage lookahead (knowledge gradient) procedures, to Bayesian fully sequential selection procedures.
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